Checklist: Critical care service
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Articles
Article Type
Category
Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Post-payment service-specific reviews
Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically...
Targeted probe and educate (TPE)
TPE is one process that a MAC can utilize when providers are selected by medical review.
Skilled nursing facility (SNF) 5-claim probe and educate (P&E) review
View this article for information concerning requirements of change request 13164.
Part B service-specific review – psychotherapy services (CPT codes 90832-90839)
View this summary for psychotherapy services (December 2020 - March 2021).
Part A service-specific review - (CPT 97530 therapeutic activities)
View this summary for outpatient rehabilitation services (January through August 2021).
Part A service-specific review -- (CPT 97110 therapeutic activities)
View this summary for outpatient rehabilitation services (August - November 2020).
Part B service-specific review -- outpatient rehabilitation services (CPT code 97110)
View this summary for outpatient rehabilitation services (August - November 2020 and August 2021).
Part A service-specific review - hyperbaric oxygen therapy (G0277)
View this summary for outpatient rehabilitation services (December 2020).